Gartner Research

Market Trends: Affordable Care Act Propels BPO Adoption in U.S. Healthcare Provider Market in 2014

Published: 17 April 2014

ID: G00260726

Analyst(s): Anurag Gupta

Summary

This research analyzes changes in the U.S. healthcare market and its long-term impact on the provider BPO market ecosystem. Strategists at business service firms should use this document to understand the market drivers and opportunities to differentiate and position their firms.

Table Of Contents

Introduction

Market Trend

  • Medicare Cuts Push Hospitals to Seek Aggressive Cost Optimization
  • Providers Will Seek Experts to Prevent Hospital Readmissions
  • Hospitals That Are "Supersizing" to Build Scale and Achieve Economies of Scale Will Look for Large Integrated BPO Providers
  • Health Providers "Shift Gears" and Explore Partnerships With Technology Firms
  • Accountable Care Organizations Join Up and Create "Integrated Care" From the Old Fragmented Care Model
  • Providers Evolve Relationship With Payers: Collaboration Rather Than Just Negotiation
  • Focus on Outpatient Care Spurs Growth of "Retail Clinics" and Technology-Led "Assisted" Decision Making
  • Revenue Cycle Management Continues to Be a Big Opportunity
  • Beyond the EHR: Leveraging Data Analytics to Improve Outcomes

Contrarian View

  • If ICD-10 Slips to ICD-11, Then ...

Vendors to Watch

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